[%# This Source Code Form is subject to the terms of the Mozilla Public # License, v. 2.0. If a copy of the MPL was not distributed with this # file, You can obtain one at http://mozilla.org/MPL/2.0/. # # This Source Code Form is "Incompatible With Secondary Licenses", as # defined by the Mozilla Public License, v. 2.0. #%] [% PROCESS global/variables.none.tmpl %] [% PROCESS global/header.html.tmpl title = "Mozilla Reps Budget Request Form" style_urls = [ 'extensions/REMO/web/styles/moz_reps.css' ] javascript_urls = [ 'extensions/REMO/web/js/form_validate.js', 'js/util.js', 'js/field.js' ] yui = [ 'autocomplete', 'calendar' ] %] [% IF user.in_group("mozilla-reps") %]

These requests will only be visible to the person who submitted the request, any persons designated in the CC line, and authorized members of the Mozilla Rep team.

Mozilla Reps - Budget Request Form

If your request is Community IT related please file it here.

* - Required Fields

First Name:
Last Name:
Mozilla Reps Profile Page:
Event Page:
Event Date:
Is this event being hosted by a
Firefox Student Ambassador(s)?:
Is the main audience of this event
Firefox Student Ambassadors?:
[% terms.Bugzilla %] Email of Your Mentor: [% INCLUDE global/userselect.html.tmpl id => "mentoremail" name => "mentoremail" value => "" size => 40 %]
Paypal Account Email:
* Currently, you CANNOT make payments using other online payment services.
Country You Reside:
Is advance payment needed?
   
Budget Request:
Total amount requested in $USD:
Costs per service:
Service 1: Cost 1:
Service 2: Cost 2:
Service 3: Cost 3:
Service 4: Cost 4:
Service 5: Cost 5:
Additional costs:
 

Budget requests received less than 3 weeks before the targeted launch date of the event/activity in question will automatically be rejected (exceptions can be made but only with council approval). This 3-week “buffer” guarantees that each budget request undergoes the same thorough selection process.

Thanks for contacting us.

[% ELSE %]

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